Case Presentation: A 72-year-old male with a history of ischemic cardiomyopathy, infectious endocarditis, subarachnoid hemorrhage, and esophageal cancer presented with symptoms of fever, altered mental status, bilateral lower extremity weakness, spasms and pain. Of note, the patient was on nivolumab, undergoing targeted radiation therapy for esophageal cancer; and vancomycin and cefepime for infectious endocarditis. The [...]

Case Presentation: A 78-year-old female with a history of breast cancer and pancreatic cancer, with status post Whipple procedure and started with capecitabine one month prior to admission, severe malnutrition, started on a high-protein diet one month prior, presented with acute encephalopathy. Her symptoms started acutely as confusion, then progressed to somnolence. She was alert [...]

Case Presentation: This case report describes a 63-year-old man with a medical history of hypertension, hyperlipidemia, abdominal aortic aneurysm status post endovascular repair, chronic obstructive pulmonary disease, and alcohol use disorder, who presented to the emergency department with a three-week history of generalized weakness followed by a fever for the last three days. Physical examination [...]

Case Presentation: A 60-year-old-female with past medical history of type 2 diabetes mellitus, hypertension, and hyperlipidemia presented with scaly pink macules with collarette ring of scale on bilateral lower extremity and forearms (figure 1). Some of her associated symptoms included itchiness. There was no drug use history and family history negative for similar skin lesion. [...]

Case Presentation: An 84-year-old woman with type 2 diabetes mellitus, hypertension, prior ischemic stroke, osteoporosis, and rheumatoid arthritis presented to the hospital after a fall with altered mental status from increased home benzodiazepine use. During her admission, she developed acute nausea and vomiting with a new leukocytosis and was found to have acute cholecystitis. She [...]

Case Presentation: A 32-year-old woman with sickle cell HbSS disease presented due to acute encephalopathy in the setting of recent admission for diffuse urticarial rash treated with steroids and diphenhydramine. She was found to be hypotensive, tachycardic, and tachypneic with development of fever soon after presentation. Chest x-ray showed left basilar opacities. She was intubated [...]

Case Presentation: A 33-year-old male with a past medical history of gout presented with a 5-day history of intermittent fevers, arthralgias, testicular pain and swelling. He denied dysuria, penile discharge, lymphadenopathy, and rashes. He reported having 3 female sexual partners over the past 6 months with consistent condom use and no history of sexually transmitted [...]

Case Presentation: A 50-year-old male with no significant medical history was admitted with altered mental status and difficulty speaking. He was found unconscious at home, experiencing malaise, dizziness, and speech impairment. Upon evaluation, he was febrile to 103°F, disoriented to place, noticeably dysarthric, and demonstrated 4/5 lower extremity weakness. Initially, stroke was suspected, but a [...]

Case Presentation: A 59-year-old female presented with a one-month history of right upper quadrant abdominal pain and unexplained weight loss. On initial examination, the patient had a BMI of 27.1 kg/m2, blood pressure of 134/88 mmHg. A computerized tomography (CT) scan revealed a substantial tumor centered in the right adrenal gland region, compressing the inferior [...]

Case Presentation: An 85-year-old female with a history of insulin-dependent diabetes, chronic kidney disease, and pemphigus vulgaris presented with four days of dyspnea and non-productive cough. History was significant for recent rituximab infusions and chronic prednisone therapy for pemphigus. On presentation to the ED, the patient was noted to be hypoxic to SpO2 84% on [...]